| NPI | 1508133844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006702) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 015615) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2022-06-13 |