| NPI | 1407112709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007365) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 017068-1) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2020-05-20 |