| NPI | 1750787081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC 010000974) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 235793) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |