| NPI | 1194109546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC OT010001082) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 13423) |
| 225X00000X Occupational Therapist (Licence: MD 08533) | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2019-10-04 |