| NPI | 1790130094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-03172) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2016010211) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |