| NPI | 1700277027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT16819) |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL 16819) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2017-06-05 |