| NPI | 1164977849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OT-1423T) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31006116A) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2019-07-25 |