| NPI | 1033491436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 966) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 04504) |
| 225X00000X Occupational Therapist (Licence: VA 0119002968) | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |