| NPI | 1629309091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10017) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 12476) |
| Enumeration Date | 2010-01-24 |
| Last Update Date | 2010-01-24 |