| NPI | 1356624209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 8123) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 6165) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-12-21 |