| NPI | 1962092288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2020029826) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AR OTR3414) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |