| NPI | 1770075905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 389902) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |