| NPI | 1942675152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 076277) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SD 0967) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |