| NPI | 1861788580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 1859) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 06304) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2018-06-12 |