| NPI | 1609324904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 017748) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 4001) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2019-05-31 |