| NPI | 1003188806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005089) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 8647) |
| 225X00000X Occupational Therapist (Licence: CA 16255) | |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2016-06-14 |