| NPI | 1548730674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006899) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 08598) |
| Enumeration Date | 2018-12-02 |
| Last Update Date | 2018-12-02 |