| NPI | 1407075062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 1700846) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2009028049) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-10-15 |