| NPI | 1083034136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 312655) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS OT2843) |
| 225X00000X Occupational Therapist (Licence: TX 115833) | |
| 225X00000X Occupational Therapist (Licence: NC 9162) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |