| NPI | 1568015212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0006493) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 20208) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2021-10-15 |