| NPI | 1023473451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 023611) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 008612) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2021-03-29 |