| NPI | 1811642135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2021025697) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2021025697) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-17 |