| NPI | 1780928044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-391) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 006582-01) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2021-01-09 |