| NPI | 1275138513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 6034) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 13589) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2023-04-04 |