| NPI | 1841696986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN OT5309) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID OT1393) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2017-12-27 |