| NPI | 1700040961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119003882) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 9109) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2010-09-15 |