| NPI | 1629301098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT005985) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 015850) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2014-08-06 |