| NPI | 1740666593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA 308761) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: LA OTA.200391) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2021-05-05 |