| NPI | 1639382609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT003537) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 10889) |
| 225X00000X Occupational Therapist (Licence: MA 9194) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2013-05-01 |