| NPI | 1073080776 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 6017) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OT-1382) | 
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2018-10-31 | 
| Last Update Date | 2021-06-16 |