| NPI | 1043763485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07966) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC OT010000709) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |