| NPI | 1992119630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: ID OT-1241) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: ID OT-1241) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2025-01-28 |