| NPI | 1912417312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 313441) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 1729) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2018-10-24 |