| NPI | 1013273689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 15185) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119001028) |
| Enumeration Date | 2012-04-07 |
| Last Update Date | 2012-04-07 |