| NPI | 1679129795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: WI 6601-026) | |
| 253Z00000X In Home Supportive Care | |
| 101Y00000X Counselor | |
| 225XE0001X Occupational Therapist, Environmental Modification | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2022-07-08 |