| NPI | 1861523516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 0636) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 13546) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2013-07-24 |