| NPI | 1710942636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 00972) |
| Additional Taxonomies | 174400000X Specialist (Licence: IA 00972) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2012-04-12 |