| NPI | 1124479878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 020512) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 11932) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2021-02-14 |