| NPI | 1275357329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 10501) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VT 072.0134514) |
| 225X00000X Occupational Therapist (Licence: PA OC020356) | |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2025-04-11 |