| NPI | 1740767151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 021958) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 20829) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2020-02-01 |