| NPI | 1306383914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN OTA2799) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OTA12556) |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2017-01-22 |