| NPI | 1619353315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT000433) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT13407) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-06 |