| NPI | 1316569825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119-00885) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 024515) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-11-30 |