| NPI | 1346769460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 386955) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID OT-1796) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |