| NPI | 1508001843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT14649) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC005807L) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2011-08-08 |