| NPI | 1194471102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 14942) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT22772) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-06-22 |