| 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 |