| NPI | 1598057408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005638) |
| Additional Taxonomies | 171W00000X Contractor (Licence: GA OT005258) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2014-09-12 |