| NPI | 1679970602 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 03936) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC OT954) | 
| Enumeration Date | 2014-11-19 | 
| Last Update Date | 2025-01-21 |