| NPI | 1508241662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT.008970) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WV 1771) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-30 |