| NPI | 1245538404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 1004) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-00648) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |