| NPI | 1952712184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 011900678) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 14-0438) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2021-05-13 |