| NPI | 1114221744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-01058) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 004647) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |