| NPI | 1720628035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 024122) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 5304) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |