| NPI | 1588820013 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 06220) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD T00632) | 
| Enumeration Date | 2008-08-04 | 
| Last Update Date | 2019-05-03 |