| NPI | 1891207205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: HI 1616) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 020042-1) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |