| NPI | 1982167854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 404358) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS 3551) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |