| NPI | 1770259731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 14258) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT011568) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |