| NPI | 1376941401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA 311343) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: LA OTA.200032) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2021-08-26 |