| NPI | 1477075646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 5671) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 020135) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2020-02-06 |