| NPI | 1710428222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT005057) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 4349) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |