| NPI | 1639735855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: 5201013132) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2023-06-21 |