| NPI | 1609055326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005299) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 4589-26) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2018-09-10 |