| NPI | 1275912511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: SD 0951) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: SD 0951) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2020-03-27 |