| NPI | 1669640322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 9984) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 883) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2013-03-20 |