| NPI | 1831576511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2022021373) |
| Additional Taxonomies | 171W00000X Contractor |
| 225X00000X Occupational Therapist (Licence: KS 17-04036) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2022-12-13 |