| NPI | 1558767590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 000950) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 1959) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |