| NPI | 1700040250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT2247) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119004512) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2016-09-06 |