| NPI | 1619620820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 101540) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 2415) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-01-28 |