| NPI | 1649440199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119004347) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WV 994) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2019-08-20 |