| NPI | 1417628330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 025941-01) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |