| NPI | 1811019037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 7083) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 05864) |
| 225X00000X Occupational Therapist (Licence: SC 3465) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2014-09-12 |