| NPI | 1225654940 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA 7683)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 4433)  | 
| Enumeration Date | 2020-06-18 | 
| Last Update Date | 2020-06-18 |