| NPI | 1083090039 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC OT010001088) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07675) | 
| Enumeration Date | 2015-07-31 | 
| Last Update Date | 2015-07-31 |