| NPI | 1255664728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 8064) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS OT2367) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2011-10-19 |