| NPI | 1376947010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 020638-01) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC013386) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2020-04-08 |