| NPI | 1386081032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 6102) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 14956) |
| 225X00000X Occupational Therapist (Licence: OH 00804) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2018-08-20 |