| NPI | 1639626237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 3974) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KY 137341) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-01-24 |