| NPI | 1013281294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT17129) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 017165) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2018-04-13 |