| NPI | 1316464209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT1734) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MT OTP-OT-LIC-4883) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |