| NPI | 1013457282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119008502) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131-001627) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2020-09-08 |