| NPI | 1609448448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0006414) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 119260) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-07-12 |