| NPI | 1508372657 |
|---|---|
| Other Name | MARA GAVRIELOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 0221155) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 022115) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |