| NPI | 1831564459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006509) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WV 1784) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |