| NPI | 1265414502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119001487) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0119001487) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2023-02-15 |