| NPI | 1548774029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS 0T3445) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 2377) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |