| NPI | 1205263761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DE U1-0001916) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: DE U2-0001397) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2019-10-22 |