| NPI | 1164838918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 18969) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 9114) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2018-04-09 |