| NPI | 1801246996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 1837) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WV LPT394) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2022-05-13 |