| NPI | 1265568711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 15423) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 15423) |
| 225X00000X Occupational Therapist (Licence: PA 002459) | |
| 225X00000X Occupational Therapist (Licence: NY 005253) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2019-07-26 |