| NPI | 1467021790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 110573) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IA 078545) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-10-21 |