| NPI | 1912418328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007465) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC014610) |
| 225X00000X Occupational Therapist (Licence: NC 11031) | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |