| NPI | 1861174633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ OTH-008483) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID OT-2788) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |