| NPI | 1356853105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 21853) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 4252) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2021-05-12 |