| NPI | 1417144551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 5394) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119004601) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2009-11-12 |