| NPI | 1710254206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 2026) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 2026) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |