| NPI | 1518616721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 5845) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119-009400) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2024-07-10 |