| NPI | 1740612480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT15704) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: GA OT005648) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2015-09-02 |