| NPI | 1013253152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 15985) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 017298-1) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2017-01-30 |