| NPI | 1528346798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005298) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC OT010000643) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |