| NPI | 1104155092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT004854) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT13249) |
| 225X00000X Occupational Therapist (Licence: TX OT113140) | |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2009-12-23 |