| NPI | 1972535078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT004067) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC009967) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |