| NPI | 1336517655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-1800) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2014025482) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2018-02-19 |