| NPI | 1548785991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007419) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC015127) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2018-03-17 |