| NPI | 1700275864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY r0983) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056-003651) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |