| NPI | 1821615477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR3645) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OK 1995) |
| 225X00000X Occupational Therapist (Licence: OK 5661) | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2022-03-28 |