| NPI | 1043595184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL OT2488) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 133742) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2020-05-22 |