| NPI | 1174175434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 09623) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 164274) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2022-09-18 |