| NPI | 1548380553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 105549) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 101753) |
| 225X00000X Occupational Therapist (Licence: WI 2994026) | |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2007-07-08 |