| NPI | 1144614405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007722) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 019572) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2024-10-24 |