| NPI | 1912541574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM OT-2023-0233) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2023-10-12 |