| NPI | 1811345952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 10392456-4201) |
| Additional Taxonomies | 174400000X Specialist |
| 247200000X Technician, Other | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2019-11-19 |