| NPI | 1154796407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0004504) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC014254) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2017-03-20 |