| NPI | 1679095053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 021482) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 12175) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |