| NPI | 1487211967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 023183-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 5121) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-07-05 |