| NPI | 1679622955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT1931) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA OTT.200076) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-09 |