| NPI | 1336496769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006356,) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2009030588) |
| 225X00000X Occupational Therapist (Licence: KS 1702580) | |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2015-08-27 |