| NPI | 1124658521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 024125-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 024125) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2022-02-22 |