| NPI | 1114223013 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 3830) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 01506-1) | 
| Enumeration Date | 2011-02-10 | 
| Last Update Date | 2025-07-01 |