| NPI | 1972139210 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119008964) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 12833) | 
| Enumeration Date | 2020-03-18 | 
| Last Update Date | 2023-10-25 |