| NPI | 1801528856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-838) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: ID OT-838) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |