| NPI | 1205170867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT 1659) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SD 0827) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |