| NPI | 1710193149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006400) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 04783) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2017-01-23 |