| NPI | 1811307200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0003972) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 0003972) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2021-01-15 |