| NPI | 1316472111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 7153) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 15111) |
| 225X00000X Occupational Therapist (Licence: TX 118331) | |
| 225X00000X Occupational Therapist (Licence: NM 3710) | |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2022-07-14 |