| NPI | 1215459474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 00000) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 000000) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |