| NPI | 1699058008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0005694) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 14246) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2021-08-06 |