| NPI | 1164614780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SD 0541) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 1049386) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |