| NPI | 1477962967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 12037527) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2014005177) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2021-04-28 |