| NPI | 1770861205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 7623) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 3834) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2012-06-29 |