| NPI | 1093107070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID 1385) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MT 1145) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-02-27 |