| NPI | 1336395268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 9195008-4201) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 0069491) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2023-02-09 |