| NPI | 1659845667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 1369) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: ND 1369) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2021-10-18 |