| NPI | 1992349864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XG0600X Occupational Therapist, Gerontology | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |