| NPI | 1922570654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 404923) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119-007811) |
| 225X00000X Occupational Therapist (Licence: NY 023644-1) | |
| 225X00000X Occupational Therapist (Licence: MA 13501) | |
| 225XP0200X Occupational Therapist Pediatrics (Licence: OR 404923) | |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2022-04-19 |