| NPI | 1194251991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 12683) |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-08-12 |