| NPI | 1235658329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0005122) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 3786) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |