| NPI | 1093424079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 018081) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC018482) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2022-11-18 |