| NPI | 1528106465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 17173) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 2312) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2019-03-27 |