| NPI | 1205804598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 000381) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-00157) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-07-08 |