| NPI | 1972367324 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC OT210002228) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 10155) | 
| Enumeration Date | 2024-02-07 | 
| Last Update Date | 2024-02-07 |