| NPI | 1801294582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11759) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 019301-1) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2017-05-25 |