| NPI | 1902922180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10740) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 8431) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2018-12-14 |