| NPI | 1972622140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225000000X Orthotic Fitter |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.004970) |
| 225X00000X Occupational Therapist (Licence: IA 01130) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2011-05-03 |