| NPI | 1922483684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY R5709) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MT OTP-OT-LIC-3761) |
| 225X00000X Occupational Therapist (Licence: TX 115722) | |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |