| NPI | 1760163786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 418834) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA 320473) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |