| NPI | 1295248458 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006884)  | 
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology | 
| Enumeration Date | 2017-11-09 | 
| Last Update Date | 2021-08-05 |