| NPI | 1518374065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PR 1038) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA 11001) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2022-12-22 |