| NPI | 1639666183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119008513) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 118810) |
| 225X00000X Occupational Therapist (Licence: CA 18249) | |
| 225X00000X Occupational Therapist (Licence: AZ 7293) | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2020-04-08 |