| NPI | 1972881399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 1547) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 114322) |
| 225X00000X Occupational Therapist (Licence: MT 3163) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2014-08-07 |