| NPI | 1548902554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 13004) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 5051) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-04-11 |