| NPI | 1750636387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 1700281) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2000167684) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |