| NPI | 1679868491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 3147) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 4105) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |