| NPI | 1306098587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119003371) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 112732) |
| Enumeration Date | 2008-10-19 |
| Last Update Date | 2008-10-19 |