| NPI | 1700186574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07783) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119005087) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2016-02-11 |