| NPI | 1902276298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT17324) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 117197) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |