| NPI | 1043582448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07214) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WV 1567) |
| 225X00000X Occupational Therapist (Licence: DC OTO10001090) | |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2015-11-03 |