| NPI | 1245513175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV 0881) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID OT-722) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |