| NPI | 1114126422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR O-T0717) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OK AOT1539) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |