| NPI | 1275140147 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT007886) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AR OTR3408) | 
| Enumeration Date | 2020-09-25 | 
| Last Update Date | 2021-02-15 |