| NPI | 1588229165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 1650) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 11445) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2021-06-30 |