| NPI | 1801161930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0005024) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 016818) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2022-02-02 |