| NPI | 1629313697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV 14-0473) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 5258-26) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2014-07-28 |