| NPI | 1013497015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 026561) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 0091321) |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2022-10-04 |