| NPI | 1952518359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 7113) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-11-07 |