| NPI | 1679047799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 025913-01) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 5497) |
| Enumeration Date | 2019-01-12 |
| Last Update Date | 2021-09-14 |