| NPI | 1548662695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006234) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07343) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2016-07-13 |