| NPI | 1962710533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 15587) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 016102) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2023-06-27 |