| NPI | 1700326139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007178) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC014468) |
| Enumeration Date | 2017-03-04 |
| Last Update Date | 2017-03-04 |