| NPI | 1770074155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 305433) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MO 214776) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2022-02-04 |