| NPI | 1093455644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT013550) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA012314) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2025-11-17 |