| NPI | 1205243540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10325) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119005894) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2023-11-05 |