| NPI | 1679715171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 2) |
| Additional Taxonomies | 225XL0004X Occupational Therapist Low Vision (Licence: MA 2) |
| 225XM0800X Occupational Therapist Mental Health (Licence: MA 2) | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |