| NPI | 1609392380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA 301966) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 5031) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |