| NPI | 1619276813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID 1500) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: HI 1079) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2015-09-09 |