| NPI | 1710284682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 6082) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 3131) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2021-10-05 |