| NPI | 1750920872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 4201) |
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-09-23 |