| NPI | 1912297227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 1702482) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2007016440) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |