| NPI | 1790102168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV OT2047) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 10778) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2021-01-28 |