| NPI | 1164523866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 03381) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: MD 03381) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-10-03 |