| NPI | 1588937569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 003717) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 10521) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |