| NPI | 1972279131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119009025) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV OT-3670) |
| 225X00000X Occupational Therapist (Licence: CA 28715) | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2026-03-11 |