| NPI | 1083821193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA 304901) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: LA OTA220273) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2017-08-14 |