| NPI | 1518159565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2017027154) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 107687) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2021-11-29 |