| NPI | 1881979516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005245) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 3757) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |