| NPI | 1215525977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM OT4411) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 6047) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2025-10-17 |