| NPI | 1710441357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 022218) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT005957) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |