| NPI | 1649538208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 242781) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MT 1661) |
| 225X00000X Occupational Therapist (Licence: CO 2179) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |