| NPI | 1770198673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119008689) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 09096) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |