| NPI | 1508103474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS 3606) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MS TA2556) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2018-12-27 |