| NPI | 1215354857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 2125) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 120505) |
| 225X00000X Occupational Therapist (Licence: MA 11169) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2021-12-08 |