| NPI | 1639419856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 113650) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119005444) |
| 225X00000X Occupational Therapist (Licence: DC OT010000679) | |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |