| NPI | 1730697640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 022545) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY P09280) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-05-08 |