| NPI | 1518416841 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT OTP-OT-LIC-6113)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 303064)  | 
| 225X00000X Occupational Therapist (Licence: CO OT.0003827)  | |
| Enumeration Date | 2016-09-28 | 
| Last Update Date | 2019-11-05 |