| NPI | 1972963718 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 308464) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH 008357) | 
| Enumeration Date | 2016-03-04 | 
| Last Update Date | 2016-03-04 |