| NPI | 1710676671 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 8038) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 14908) | 
| 225X00000X Occupational Therapist (Licence: MD 09996) | |
| Enumeration Date | 2023-05-04 | 
| Last Update Date | 2024-09-04 |