| NPI | 1063056273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 013981) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 013981) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-11-05 |