| NPI | 1487207759 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC OT200001231)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 023705)  | 
| Enumeration Date | 2019-07-16 | 
| Last Update Date | 2021-11-04 |