| NPI | 1982177119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 41047) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 4039) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |