| NPI | 1386182301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5987-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 117905) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |