| NPI | 1104193382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 018089-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119005100) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2019-02-05 |