| NPI | 1467022160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 278663) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 14032) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2022-10-11 |