| NPI | 1982111670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 6060) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CT 1841) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2022-10-12 |