| NPI | 1902311491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 11371) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT15112) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |