| NPI | 1255787057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 12607) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119006891) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2020-02-28 |