| NPI | 1306330931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 6259-26) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 1722-39) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |