| NPI | 1780079913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006027) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 8748815) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |