| NPI | 1265155576 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 15210) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 09940) | 
| Enumeration Date | 2022-09-21 | 
| Last Update Date | 2025-03-05 |