| NPI | 1063709764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 1438) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 010031-1) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |