| NPI | 1821381013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: WV 1525) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: MD 03619) |
| 225XG0600X Occupational Therapist, Gerontology (Licence: PA OC011786) | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |