| NPI | 1679357263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 15671) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT012174) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |