| NPI | 1013578970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 1830) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07944) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2023-07-20 |