| NPI | 1164991154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 023194-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 5100) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2021-01-28 |