| NPI | 1164812434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KS T-04097) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2019-02-25 |