| NPI | 1811569122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119-990030) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 13697) |
| 225X00000X Occupational Therapist (Licence: MD 09304) | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2022-12-04 |