| NPI | 1245506062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 6944) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AZ 5068) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2017-04-16 |