| NPI | 1275804122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 01195) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 12531) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-10-29 |