| NPI | 1720399462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2004019225) |
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification (Licence: MO 2004019225) |
| 225XG0600X Occupational Therapist, Gerontology (Licence: MO 2004019225) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |