| NPI | 1275301764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MO 2023044218) |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |