| NPI | 1588036354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 01640) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SD 0811) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |