| NPI | 1790056695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 163705) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 4449) |
| 225X00000X Occupational Therapist (Licence: VA 0119005197) | |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2018-08-07 |