| NPI | 1376216127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119010202) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 121781) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2023-11-12 |