| NPI | 1720409097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0006173) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0016543) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2024-09-10 |