| NPI | 1104323609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0004887) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NM 3628) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2022-05-20 |