| NPI | 1659629939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM OT2940) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: NM 2940) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2022-10-21 |