| NPI | 1083003297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07620) |
| Additional Taxonomies | 171W00000X Contractor (Licence: DC OT010000980) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2021-08-20 |