| NPI | 1043407836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: OH 006809) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119006721) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2021-01-28 |