| NPI | 1912161878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119004752) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC011290) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2018-10-09 |