| NPI | 1942857966 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 08823) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119008318) | 
| Enumeration Date | 2019-08-23 | 
| Last Update Date | 2019-08-26 |