| NPI | 1760509715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT4854) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 991480) |
| 225X00000X Occupational Therapist (Licence: HI OT-610) | |
| 225X00000X Occupational Therapist (Licence: AL 5118) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2019-09-10 |