| NPI | 1215204490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN OT0000003570) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC011270) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2022-03-25 |