| NPI | 1245444249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OTR-710) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY KY-R2537) |
| 225X00000X Occupational Therapist (Licence: PA OC009807) | |
| 225X00000X Occupational Therapist (Licence: MT 983) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |