| NPI | 1639713274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007091) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 024118) |
| 225X00000X Occupational Therapist (Licence: NC 16379) | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |