| NPI | 1306164397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 1702355) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2004002141) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2012-05-03 |