| NPI | 1134495047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 4189) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT005755) |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2014-09-28 |