| NPI | 1780359661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0007198) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 025862) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2023-04-06 |