| NPI | 1053351627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 2282) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: AL 2282) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-06-02 |