| NPI | 1639581648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 3725) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 319446) |
| Enumeration Date | 2014-05-25 |
| Last Update Date | 2014-05-25 |