| NPI | 1528649613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 13900) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 023437) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |