| NPI | 1245745611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 2411) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WV C2185) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2023-10-04 |