| NPI | 1902286636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 019737) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC012658) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |