| NPI | 1962739367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT16067) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 012491) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2019-02-01 |