| NPI | 1952407512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007326) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 03518) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-10-03 |