| NPI | 1790966950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 14633) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 000591) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2022-10-21 |