| NPI | 1982213757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 025656) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 10144) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2021-08-11 |