| NPI | 1528603271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119008400) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT20430) |
| 225X00000X Occupational Therapist (Licence: MT OTOOTLIC6916) | |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2019-11-16 |