| NPI | 1093228819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 021997-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 004893) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2020-06-15 |