| NPI | 1649332610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 0961) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT001507) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |