| NPI | 1962812560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 4608) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA 60338983) |
| 225X00000X Occupational Therapist (Licence: FL 3278) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2022-04-18 |