| NPI | 1780992552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 015094-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT21248) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2021-12-21 |