| NPI | 1679579973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT001129) |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: GA 10011020003) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-10-22 |