| NPI | 1225461577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 22020) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 018145-1) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2022-04-06 |