| NPI | 1710761689 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT008945) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 7730) | 
| Enumeration Date | 2023-08-22 | 
| Last Update Date | 2023-08-22 |