| NPI | 1366869059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60441849) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201008361) |
| 225X00000X Occupational Therapist (Licence: HI OT1335) | |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |