| NPI | 1003213521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 022882) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07433) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2019-11-20 |