| NPI | 1174066179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK 111124) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO OT.0003899) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |