| NPI | 1356863260 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 04974) | 
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification (Licence: MD 04974) | 
| Enumeration Date | 2017-07-12 | 
| Last Update Date | 2022-07-21 |