| NPI | 1730637133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11972) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 10563) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |