| NPI | 1407573512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XM0800X Occupational Therapist Mental Health (Licence: NC 6726) |
| Additional Taxonomies | 225XG0600X Occupational Therapist Gerontology (Licence: NC 6726) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |