| NPI | 1164065462 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2019035450) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-03635) | 
| Enumeration Date | 2019-10-21 | 
| Last Update Date | 2023-06-19 |