| NPI | 1215276035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 017868-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 63017868) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2021-08-04 |