| NPI | 1699421107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 274574) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 118998) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |