| NPI | 1134293368 |
|---|---|
| Former Name | ANGELA KAYE SPARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT005505) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS OT1721) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2022-11-15 |