| NPI | 1679912158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 5542) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH 008372) |
| 225X00000X Occupational Therapist (Licence: FL 18270) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2020-02-03 |