| NPI | 1457563595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: LA Z11088) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 01190006010) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-12-11 |