| NPI | 1629559471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007820) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO OT.0005489) |
| 225X00000X Occupational Therapist (Licence: TX 119263) | |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |