| NPI | 1376084384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007110) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 0004846) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |