| NPI | 1104545904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VT 072.0134149) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 025435) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-08-24 |