| NPI | 1326422262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11632) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: UT 9428182-4201) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |