| NPI | 1700260056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT005420) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 0004163) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |