| NPI | 1932541026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS T-03660) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2013019791) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |