| NPI | 1912383035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC .4525) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07615) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2026-03-04 |