| NPI | 1023352929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119002118) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC OT763) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |