| NPI | 1720601644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 13007) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 4054) |
| 225X00000X Occupational Therapist (Licence: SC 4456) | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |