| NPI | 1568758480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MS TA1999) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS T-04056) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2015-02-02 |