| NPI | 1720769920 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist | 
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: WI 835926) | 
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: WI 835926) | |
| Enumeration Date | 2023-07-31 | 
| Last Update Date | 2023-10-23 |