| NPI | 1043515968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC008632) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 1843-26) |
| 225X00000X Occupational Therapist (Licence: MI 5201002999) | |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |