| NPI | 1245415173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 005526) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 116998) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2019-02-13 |