| NPI | 1396053633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT17623) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 015669-1) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2020-11-24 |