| NPI | 1902649536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 10265) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119010355) |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |