| NPI | 1205558947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 15388) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: NC 15388) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-10-12 |