| NPI | 1265558969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 1513) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WV C1573) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-02-22 |