| NPI | 1740610096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5405-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 104216) |
| 225X00000X Occupational Therapist (Licence: FL 16031) | |
| Enumeration Date | 2013-11-23 |
| Last Update Date | 2013-11-23 |