| NPI | 1720413420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 261199) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 3522) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2020-12-17 |