| NPI | 1043598097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2055X Respite Care Respite Care, Mental Illness, Child (Licence: AZ BH5312) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31004130A) |
| 225X00000X Occupational Therapist (Licence: WA OT60174150) | |
| 225X00000X Occupational Therapist (Licence: AZ 4842) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2018-03-17 |