| NPI | 1225436504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 023097) |
| Additional Taxonomies | 171W00000X Contractor (Licence: ME TO2974) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2019-05-09 |