| NPI | 1770159899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 5786) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 025710) |
| Enumeration Date | 2021-05-29 |
| Last Update Date | 2023-04-26 |