| NPI | 1003066903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 2792) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 112823) |
| 225X00000X Occupational Therapist (Licence: GA OT004804) | |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2014-09-23 |