| NPI | 1790242196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: VA 0119-007629) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: NC 11609) |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NC 11609) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: VA 0119-007629) | |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |