| NPI | 1588078687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006854) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2014016768) |
| 225X00000X Occupational Therapist (Licence: KS 17-02991) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2023-03-23 |