| NPI | 1376979633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07301) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 014466) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2022-09-02 |