| NPI | 1730831025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 5532) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 120771) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |