| NPI | 1215229521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT0003552) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 10331) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2013-04-30 |