| NPI | 1902588239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM OT-2024-0017) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 353041) |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2024-03-12 |