| NPI | 1417119587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 12057) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 6876) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2018-09-24 |