| NPI | 1013591809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 025511) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00987000) |
| 225X00000X Occupational Therapist (Licence: CA OT22228) | |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2021-05-08 |