| NPI | 1881933448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT10793) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 5021) |
| 225X00000X Occupational Therapist (Licence: PA #OC-002694-L) | |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |