| NPI | 1417081985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 413) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119002711) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2012-10-24 |