| NPI | 1316589997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR4147) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA4495) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2025-10-29 |