| NPI | 1972878247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 5643) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 015179) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2019-11-18 |