| NPI | 1174908305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT3129) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2018-10-17 |