| NPI | 1679772826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10590) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 5544) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2022-07-27 |