| NPI | 1265965743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 6192) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT006692) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2021-10-22 |