| NPI | 1780128124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 4736) |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: WI 4736-26) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2023-10-20 |