| NPI | 1255477147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 15051) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 5425) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-08-05 |