| NPI | 1114207933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SD 0632) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 1161) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |