| NPI | 1306268446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005243) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC 010000689) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |