| NPI | 1922629120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 024537) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT20842) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |