| NPI | 1053958504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 114767) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 024270-01) |
| 225X00000X Occupational Therapist (Licence: TX 121502) | |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2023-01-03 |