| NPI | 1124426077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11840) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO OT.0004104) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2017-03-28 |