| NPI | 1417619099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 17779) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ OTH-008636) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2026-03-29 |