| NPI | 1134196652 |
|---|---|
| Former Name | MARY ELIZABETH GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA 005686) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS OT1748) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2019-07-16 |