| NPI | 1821277484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005489) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2014-04-29 |