| NPI | 1457110009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT007654) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WV 1364) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |