| NPI | 1598396962 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 10726674-4201) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 19055) | 
| Enumeration Date | 2020-02-03 | 
| Last Update Date | 2020-02-03 |