| NPI | 1104317387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC OT010001531) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 08407) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2019-02-28 |