| NPI | 1851775456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005560) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 9568) |
| 225X00000X Occupational Therapist (Licence: SC 4460) | |
| 225X00000X Occupational Therapist (Licence: CA 15096) | |
| 225X00000X Occupational Therapist (Licence: NJ 46TR00675300) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2017-04-05 |