| NPI | 1730779174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OK 5622) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OK 1735) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-09-02 |