| NPI | 1043883150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 15189) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 13770) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2022-08-26 |