| NPI | 1639840259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 628326) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 086287) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2022-01-11 |