| NPI | 1902088222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-02100) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2004005337) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2012-03-05 |