| NPI | 1700442506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 5913) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 4399) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2020-11-24 |