| NPI | 1255087433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 14467) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 117186) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |