| NPI | 1184098014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2019047701) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AR OT-A995) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2020-06-25 |