| NPI | 1396482766 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 12740461-4201)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT010307)  | 
| Enumeration Date | 2022-05-17 | 
| Last Update Date | 2022-05-17 |