| NPI | 1942884531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 14010) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 14010) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-19 |