| NPI | 1609042795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT004672) |
| Additional Taxonomies | 225CX0006X (Licence: GA 1253) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |