| NPI | 1639647365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119009804) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO OT.0005680) |
| 225X00000X Occupational Therapist (Licence: PA OC016063) | |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2023-02-04 |