| NPI | 1639375256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT00485) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 010179) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2011-12-06 |