| NPI | 1790134831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ OTH-008079) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 020620) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2022-04-05 |