| NPI | 1740702778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006507) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 15837) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |