| NPI | 1205145810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 2713) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC011894) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2012-04-02 |