| NPI | 1902284995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT005935) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 3751) |
| 225X00000X Occupational Therapist (Licence: CA 14304) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |