| NPI | 1770248569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 026335) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 457060) |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2021-11-29 |