| NPI | 1790229201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 11368) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 2064) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2018-03-17 |