| NPI | 1699715987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT004574) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 2492) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2017-05-08 |