| NPI | 1295301380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 000490) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 000490-1) |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2021-05-31 |