| NPI | 1104164045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: HI OT1202) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: HI OT-1202) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2016-10-21 |