| NPI | 1902129984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119004358) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 112861) |
| 225X00000X Occupational Therapist (Licence: NC 7029) | |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2019-09-27 |