| NPI | 1508134503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5060-26) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: WI 5060-26) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |