| NPI | 1801084264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR1571) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 109123) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |