| NPI | 1780346767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119010802) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WV 2537) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2025-02-20 |