| NPI | 1972968253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 4628) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 4867) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |