| NPI | 1396095162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT1387) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA OTTZ10228) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |