| NPI | 1770909863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07347) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WV 1701) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |