| NPI | 1578083010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 14603) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MO 2017001190) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-07-21 |