| NPI | 1023535572 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 08179)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC OT010001358)  | 
| Enumeration Date | 2017-08-25 | 
| Last Update Date | 2021-01-12 |