| NPI | 1659749067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006804) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07761) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2016-07-14 |