| NPI | 1629244975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: NY 010046-01) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 111293) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2020-01-23 |