| NPI | 1356634430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT2561) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA TT60155766) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2014-03-24 |