| NPI | 1275068538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT22559) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL ota15821) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2022-01-18 |