| NPI | 1164680880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0006285) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 109396) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2020-01-23 |