| NPI | 1710905146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA 3450) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 2579) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-04-13 |