| NPI | 1710122122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT2230) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN OT0000001837) |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2019-08-13 |