| NPI | 1265159784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: NC 11232) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: KS 17-04297) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2024-06-30 |