| NPI | 1679819205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT005543) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 09-0165) |
| Enumeration Date | 2013-01-01 |
| Last Update Date | 2013-07-29 |