| NPI | 1962772202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 4012) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 2308) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |