| NPI | 1518089135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 55364234201) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 0700) |
| 225X00000X Occupational Therapist (Licence: AZ 3262) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |