| NPI | 1760999601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM OT4398) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 0530) |
| Enumeration Date | 2017-12-31 |
| Last Update Date | 2023-09-27 |