| NPI | 1558814210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV 16-0718) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 117600) |
| 225X00000X Occupational Therapist (Licence: VA 0119006912) | |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |