| NPI | 1821582701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT17481) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: HI OT1762) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |