| NPI | 1912669219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119010680) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC018071) |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2024-11-04 |