| NPI | 1215710462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0000620) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 000102) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |