| NPI | 1770865453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119008999) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 016895) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2021-09-01 |