| NPI | 1124511258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: 0119002491) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119002491) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |