| NPI | 1922760883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 17111) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119009183) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2024-10-14 |