| NPI | 1649502659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK PHYO2891) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 06506) |
| 225X00000X Occupational Therapist (Licence: OR 256632) | |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2019-11-06 |