| NPI | 1609380492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 175449) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225X00000X Occupational Therapist (Licence: TN 5847) | |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2021-06-21 |