| NPI | 1114476686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 12519) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AK 115142) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2018-10-09 |