| NPI | 1184453912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119011278) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 10315) |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2026-01-29 |