| NPI | 1811437981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2017006765) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 00000) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |