| NPI | 1376888651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10573) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 4464) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2016-09-16 |