| NPI | 1235774969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NE 2389) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 104984) |
| 225X00000X Occupational Therapist (Licence: MI 5201011300) | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2021-11-11 |