| NPI | 1104592542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119009185) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 16052) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2024-04-23 |