| NPI | 1790412781 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist | 
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | 
| Enumeration Date | 2022-08-01 | 
| Last Update Date | 2022-08-01 |