| NPI | 1124358247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NE 456) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 001899) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |