| NPI | 1780292300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0008500) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 120875) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2026-04-24 |