| NPI | 1609030212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119004964) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 3889) |
| 225X00000X Occupational Therapist (Licence: CA OT 10495) | |
| 225X00000X Occupational Therapist (Licence: WI 5056-026) | |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2012-06-27 |