| NPI | 1750740429 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007539) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT17560) | 
| Enumeration Date | 2016-02-23 | 
| Last Update Date | 2021-05-17 |