| NPI | 1427593474 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV 160797) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT18114) | 
| Enumeration Date | 2016-12-29 | 
| Last Update Date | 2016-12-29 |