| NPI | 1821868480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VT 072.0134208) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 026137) |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |