| NPI | 1114122298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT12690) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC010147) |
| 225X00000X Occupational Therapist (Licence: MD 05860) | |
| 225X00000X Occupational Therapist (Licence: VA 0119004544) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-08 |