| NPI | 1023261054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 008207-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 025409-01) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2024-10-17 |