| NPI | 1154519544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 1700286) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2001022660) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |