| NPI | 1568831923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC OT010001125) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119006072) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2017-10-19 |