| NPI | 1912101759 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: AZ 3930)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 3930)  | 
| Enumeration Date | 2007-06-14 | 
| Last Update Date | 2022-07-25 |