| NPI | 1073879714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 6684) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 001010) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |