| NPI | 1124613526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 17979) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 5554) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2025-09-15 |