| NPI | 1063905487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT OTP-OT-LIC-9952) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID OT-1865) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2025-09-29 |