| NPI | 1629854484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 16911) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 22031) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2026-04-17 |