| NPI | 1760548697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: GA OT001099) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 1702630) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2017-01-31 |