| NPI | 1144589748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC OT1001) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 04261) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |