| NPI | 1073735452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 002485) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 1812) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-10-22 |