| NPI | 1669573325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10106) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT11451) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2016-11-13 |