| NPI | 1477125334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 026170) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 456357) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-10-29 |