| NPI | 1164895785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10065) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT16741) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2018-09-21 |