| NPI | 1376743773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR AR2926) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2007019815) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2016-11-02 |