| NPI | 1912704636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119010867) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201014118) |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2026-03-08 |