| NPI | 1346790268 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 309530) | 
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: OR 309530) | 
| Enumeration Date | 2016-10-04 | 
| Last Update Date | 2021-01-27 |