| NPI | 1215460092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006274) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC OT0100001037) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |