| NPI | 1740645878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 004520) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 11812) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |