| NPI | 1770242455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 026476-01) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2022-03-17 |