| NPI | 1770926495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT002768) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 3809) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |