| NPI | 1114473840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 4949) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 09461) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |