| NPI | 1770979296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-00615) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 000211) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |