| NPI | 1477175487 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 13519) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 3008) | 
| Enumeration Date | 2020-05-13 | 
| Last Update Date | 2020-11-23 |