| NPI | 1629101837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 129) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 02869) |
| 225X00000X Occupational Therapist (Licence: VA 0119002744) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |