| NPI | 1710430962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 020748-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 004571) |
| Enumeration Date | 2016-07-24 |
| Last Update Date | 2020-12-11 |