| NPI | 1366974818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056016655) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: IL V42500096844) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-08-13 |