| NPI | 1750578514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119004206) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 108606) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |