| NPI | 1487958930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 2520) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC011708) |
| Enumeration Date | 2010-12-26 |
| Last Update Date | 2010-12-26 |