| NPI | 1568237055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119010175) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 11555) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |