| NPI | 1619240405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT000617) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 7963) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2017-07-06 |