| NPI | 1679949176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 4799) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 019935) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2016-10-03 |