| NPI | 1700469756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119-009039) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-05-17 |