| NPI | 1760730550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 119007043) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 108636) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2018-03-17 |