| NPI | 1205590502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 273774) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 5714) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |