| NPI | 1124757463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 15540) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119009500) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2023-03-30 |