| NPI | 1902052764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 001374) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT.006723) |
| 225X00000X Occupational Therapist (Licence: MA AH 355) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2012-01-02 |