| NPI | 1902247901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 018172) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 17115) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2019-01-02 |