| NPI | 1619580594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 13474) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225X00000X Occupational Therapist (Licence: NC 13474) | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2021-03-11 |