| NPI | 1205028248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT004023) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AK 1747) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2016-10-21 |