| NPI | 1902261803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 074889) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.010711) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |