| NPI | 1518321405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 4316) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119006770) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |