| NPI | 1174854020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT004872) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 13922) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |