| NPI | 1396956975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-01969) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2001017570) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |