| NPI | 1205482965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ OTH-009528) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AZ OTA-007328) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2024-05-02 |