| NPI | 1245675008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: SC OT.4115 OT) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 8369) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-06-13 |