| NPI | 1295201655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 023317-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY P11024) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2022-08-24 |