| NPI | 1790715571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SD 0679) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 1237) |
| 225X00000X Occupational Therapist (Licence: IA 01744) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-08-22 |