| NPI | 1164296745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VT 072.0134420) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR01141200) |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |