| NPI | 1609297993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006156) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC013176) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |