| NPI | 1891343398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 023718) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 120093) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |