| NPI | 1902172109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT16417) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 63 016042) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2016-06-21 |