| NPI | 1760932206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11848) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 020448) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |