| NPI | 1811387467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist Gerontology (Licence: SC 3771) |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: SC 3771) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |