| NPI | 1912788662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 025879-01) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC017838) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |