| NPI | 1023643350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 16769) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 08937) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2024-04-23 |