| NPI | 1235633355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM OT3919) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 7402) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2020-08-17 |