| NPI | 1760728174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC OT010000986) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07417) |
| 225X00000X Occupational Therapist (Licence: WV 1608) | |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2019-06-13 |