| NPI | 1811240716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 1587) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP00940667) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2023-06-20 |