| NPI | 1508461260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 13732) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 12938) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-09 |