| NPI | 1407118607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5115-26) |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: MN 101773) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |