| NPI | 1508085697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 2804) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 107843) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |