| NPI | 1831962679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2023011020) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 24896) |
| 225X00000X Occupational Therapist (Licence: MT OTP-OT-LIC-10479) | |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |