| NPI | 1386280766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OT20955) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119008259) |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2021-02-06 |