| NPI | 1902248727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT 1129) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 281458) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |