| NPI | 1194199596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 008469-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 001829) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |