| NPI | 1659722890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007435) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 12024) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2023-01-10 |