| NPI | 1609392133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 172898) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA 60766858) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-07-21 |