| NPI | 1770778649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT004611) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119004302) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-15 |