| NPI | 1295157857 |
|---|---|
| Former Name | ERIN ELIZABETH GRAVINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 3590) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119005879) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2017-11-05 |