| NPI | 1922466804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2017012422) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 1961) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2018-07-10 |