| NPI | 1104091768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 9722) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 2417) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2020-05-08 |