| NPI | 1003109174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10030) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 3782) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2016-09-21 |