| NPI | 1619432036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT008025) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 12293) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2021-04-29 |