| NPI | 1790315950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119009488) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT007601) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2022-09-12 |