| NPI | 1235459298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 4820) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 113531) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2011-05-22 |