| NPI | 1750894762 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 022309)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY P08684)  | 
| Enumeration Date | 2017-11-13 | 
| Last Update Date | 2018-10-29 |