| NPI | 1891244091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 13855) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2021-03-01 |