| NPI | 1942444781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 17155) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 0116011) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2023-04-05 |