| NPI | 1649936899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 5792) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 13201) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2023-05-02 |