| NPI | 1356596530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-00230) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: KS 1700230) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |