| NPI | 1063760254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NE 1413) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 001965) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2019-10-14 |