| NPI | 1144502626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 431) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA oc0058120) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2012-12-11 |