| NPI | 1962549642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2000161757) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 2000161757) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2016-03-29 |