| NPI | 1306102397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT005441) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 15271) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2014-10-31 |