| NPI | 1356237564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 2199) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: ND 2199) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-24 |