| NPI | 1841406485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 0271) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP0834) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |