| NPI | 1710172440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07067) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119003660) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2016-08-02 |