| NPI | 1124522123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY O221791) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 0221791) |
| 225X00000X Occupational Therapist (Licence: 03) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |