| NPI | 1760793152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 003350) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-01318) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |