| NPI | 1023360062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2012026717) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-02823) |
| Enumeration Date | 2012-10-14 |
| Last Update Date | 2012-10-14 |