| NPI | 1871123810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 023890) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2019037399) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |