| NPI | 1811451958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT008146) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA002000) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2021-09-16 |