| NPI | 1104049477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-02357) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 01578) |
| 225X00000X Occupational Therapist (Licence: MO 2006015503) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |