| NPI | 1164632592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 005) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: WV 005) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-09 |