| NPI | 1417556929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 21595) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AR OTR3449) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2021-07-13 |