| NPI | 1609369917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2018028956) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-03484) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-10-02 |