| NPI | 1669800991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10112) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 11035) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2016-08-01 |