| NPI | 1699961516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 0914) |
| Additional Taxonomies | 171W00000X Contractor (Licence: SC 2899) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2021-07-01 |