| NPI | 1306224787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: CO 0004660) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 019348) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2019-05-21 |