| NPI | 1023256963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 1701643) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 004838) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |