| NPI | 1104191824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005787) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 4982-026) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2018-06-14 |