| NPI | 1700579919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 119233) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 14072) |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |