| NPI | 1437704202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119008701) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC016449) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2020-08-06 |