| NPI | 1720554603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0006720) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 12056) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2021-05-31 |