| NPI | 1780308957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007226) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 09786) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-09-30 |