| NPI | 1407339757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT11709) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 11709) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |