| NPI | 1710422332 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 09616) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC OT200001240) | 
| 225X00000X Occupational Therapist (Licence: PA OC017422) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-01-05 | 
| Last Update Date | 2022-08-30 |