| NPI | 1972135689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 024463-01) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 5386) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |