| NPI | 1548744311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 5389) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 19430) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2021-04-17 |