| NPI | 1003933888 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA z10801)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 6328)  | 
| 225X00000X Occupational Therapist (Licence: FL 12329)  | |
| 225X00000X Occupational Therapist (Licence: CA 7336)  | |
| 225X00000X Occupational Therapist (Licence: UT 109541-4201)  | |
| 225X00000X Occupational Therapist (Licence: OR 316026)  | |
| 225X00000X Occupational Therapist (Licence: NY 009868-1)  | |
| Enumeration Date | 2007-03-25 | 
| Last Update Date | 2007-07-08 |