| NPI | 1639670136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 023624) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 118906) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2019-08-22 |