| NPI | 1407395072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0005639) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 021167-1) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2024-05-22 |