| NPI | 1215434113 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 13488140-4201)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 022414)  | 
| Enumeration Date | 2018-04-09 | 
| Last Update Date | 2023-08-08 |