| NPI | 1205218021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 5497) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 01711-2) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2025-08-13 |