| NPI | 1255350880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT003551) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 2630) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |