| NPI | 1114567906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 13444) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 5616) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-09-02 |