| NPI | 1174725022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10179) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 2595) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2015-05-19 |