| NPI | 1780848895 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 5873) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 1114) | 
| Enumeration Date | 2008-07-17 | 
| Last Update Date | 2008-07-17 |