| NPI | 1942253620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 6908) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 002365) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-05-03 |