| NPI | 1679961312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 324628) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119006254) |
| 225X00000X Occupational Therapist (Licence: FL OT16718) | |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |