| NPI | 1174647689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 4194-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VT 0720000540) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2012-09-06 |