| NPI | 1295072411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 025199-01) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: RI OT01364) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2021-03-09 |