| NPI | 1912280223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OK 1517) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2007031186) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2016-07-21 |