| NPI | 1982177317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-2017) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 19445) |
| 225X00000X Occupational Therapist (Licence: MT OTP-OT-LIC-3921) | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-09 |