| NPI | 1629347935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL 17749) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 015259) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2023-10-09 |