| NPI | 1154678761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 024708) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA TOC102501) |
| 225X00000X Occupational Therapist (Licence: NM OT3886) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2021-09-24 |