| NPI | 1316453368 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10871)  | 
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 10871)  | 
| Enumeration Date | 2017-12-28 | 
| Last Update Date | 2021-06-30 |