| NPI | 1578287819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC OT210002089) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 09688) |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |