| NPI | 1053793133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07847) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019005502) |
| 225X00000X Occupational Therapist (Licence: WV 1765) | |
| 225X00000X Occupational Therapist (Licence: VA 0119006601) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2018-12-04 |